CAJ | 학술논문

目的观察急性心肌梗死 (AMI) 患者随机血糖水平对介入治疗后预后的影响.方法选取急性心肌梗死患者354例,根据入院第一次随机血糖分为3组:A组:132例,血糖＜7.80 mmol/L;B组120例,血糖7.80～11.00 mmol/L;C组102例,血糖≥11.00 mmol/L.结果与A组相比,C组血胆固醇、低密度脂蛋白、甘油三酯浓度较高(P<0.05).冠状动脉造影示B、C组多支病变比例高于A组,但差异无统计学意义(P>0.05).B、C组校正TIMI帧数(CTFC)值高于A组(P<0.05).B、C组主要心血管事件发生率及病死率高于A组,其中C组与A组相比差异有统计学意义(P<0.05).结论入院随机血糖升高的急性心肌梗死患者,进行直接介入治疗后预后较差,心血管事件发生率及病死率较高.
목적 관찰급성심기경사 (AMI) 환자수궤혈당수평대개입치료후예후적영향.방법 선취급성심기경사환자354례,근거입원제일차수궤혈당분위3조:A조:132례,혈당＜7.80 mmol/L;B조120례,혈당7.80～11.00 mmol/L;C조102례,혈당≥11.00 mmol/L.결과 여A조상비,C조혈담고순、저밀도지단백、감유삼지농도교고(P<0.05).관상동맥조영시B、C조다지병변비례고우A조,단차이무통계학의의(P>0.05).B、C조교정TIMI정수(CTFC)치고우A조(P<0.05).B、C조주요심혈관사건발생솔급병사솔고우A조,기중C조여A조상비차이유통계학의의(P<0.05).결론 입원수궤혈당승고적급성심기경사환자,진행직접개입치료후예후교차,심혈관사건발생솔급병사솔교고.
Objective To evaluate the association between hyperglycaemia at admission and in-hospital outcomes in acute myocardial infarction (AMI) patients undergoing percutaneous coronary intervention (PCI). Methods Three hundreds and fifty-four patients with AMI and underwent PCI were divided into 3 groups according to the glucose level on admission: group A (n=132), ＜7.80 mmol/L;group B (n=120), 7.80-11.00 mmol/L;group C (n=102), ≥11.00 mmol/L. Results Patients in group C had higher cholesterol, low-density lipoprotein and triglycerides levels than those in group A. Compared with group A, there were higher incidence of multi-vascular diseases and higher corrected TIMI frame count (CTFC) in angiography in group B and group C. Cardiac events and in-hospital mortality in group B and group C were higher than those of group A, while statistical difference was found between group C and group A. Conclusion Elevated admission glucose level in AMI patients with primary PCI is associated with worse prognosis, increased major adverse cardiac events and higher in-hospital mortality.